Impact of haptic feedback on surgical training outcomes: A Randomised Controlled Trial of haptic versus non-haptic immersive virtual reality training

Gani, Abrar; Pickering, Oliver; Ellis, Caroline; Sabri, Omar; Pucher, Philip H.

doi:10.1016/j.amsu.2022.104734

Cited by 30 publications

(18 citation statements)

References 30 publications

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“…simulation improved drilling performance compared to the VR simulation without haptic feedback. 18 haptic feedback into VR simulation requires additional resources. The aforementioned studies along with the present study provide important validation that this extra work may potentially lead to measurable gains in performing simple tasks such as drilling.…”

Section: Discussionmentioning

confidence: 99%

“…They also noted that users who had combined visual and haptic feedback were better able to recall the amount of force used to perform certain tasks. Gani et al also found that the addition of haptic feedback to a VR simulation improved drilling performance compared to the VR simulation without haptic feedback 18 . Incorporation of haptic feedback into VR simulation requires additional resources.…”

Section: Discussionmentioning

confidence: 99%

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Haptic feedback during virtual reality training significantly improves First-Year orthopedic resident performance at tibia drilling: a randomized trial

Kanakamedala

Dankert

Parola

et al. 2023

Current Orthopaedic Practice

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Background:Few studies have investigated whether haptic feedback improves the effectiveness of virtual reality (VR) simulation. This study aimed to determine whether new orthopedic surgery residents trained on haptic feedback-enabled VR performed basic drilling better than residents who had trained on VR without haptic feedback. Methods:Fourteen first-year orthopedic surgery residents were enrolled and randomized into "haptic" or "non-haptic" groups and blinded to study goals and randomization. Residents participated in a VR tibia drilling simulation with haptic feedback either turned on or off and then performed a plastic resin tibia model drilling session where overdrill depth was measured by two raters blinded to study groups. Questionnaires were completed before and after the hands-on sessions with responses on a five-point Likert scale. Results:There were no significant differences in demographics between groups. Overdrill depth during the first trial was significantly less in the haptic group than the non-haptic group (3.9 mm vs. 6.0 mm, P = 0.005). Subsequent trials showed no significant difference in mean overdrill depth between groups (P > 0.05). Haptic group participants reported higher confidence in the safe use of surgical tools (4 vs. 3, P < 0.01) and more simulation realism (4 vs. 3, P < 0.01). Conclusion:VR training with haptic feedback significantly improves initial performance during use of a surgical drill through a tibia model compared to VR training without haptic feedback in first year orthopedic residents. The addition of haptic feedback also increases the perceived value, realism, and enjoyment of VR simulation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Haptic feedback during virtual reality training significantly improves First-Year orthopedic resident performance at tibia drilling: a randomized trial

Kanakamedala

Dankert

Parola

et al. 2023

Current Orthopaedic Practice

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“…The trainee doctors experienced a VR training module for drilling bicortical holes for screw insertion on a VR tibia bone model with either haptic or no haptic feedback, followed by an ex vivo identical test on a tibial sawbone model. The authors proved the higher performance of participants included in the haptic group, highlighting the potential educational role of haptic feedback in orthopaedic training simulation models [ 94 ].…”

Section: Clinical Translation and Efficacy Of Orthopaedic Trauma Vr M...mentioning

confidence: 99%

Application of Virtual Reality Systems in Bone Trauma Procedures

et al. 2023

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Background and Objectives: Bone fractures contribute significantly to the global disease and disability burden and are associated with a high and escalating incidence and tremendous economic consequences. The increasingly challenging climate of orthopaedic training and practice re-echoes the established potential of leveraging computer-based reality technologies to support patient-specific simulations for procedural teaching and surgical precision. Unfortunately, despite the recognised potential of virtual reality technologies in orthopaedic surgery, its adoption and integration, particularly in fracture procedures, have lagged behind other surgical specialities. We aimed to review the available virtual reality systems adapted for orthopaedic trauma procedures. Materials and Methods: We performed an extensive literature search in Medline (PubMed), Science Direct, SpringerLink, and Google Scholar and presented a narrative synthesis of the state of the art on virtual reality systems for bone trauma procedures. Results: We categorised existing simulation modalities into those for fracture fixation techniques, drilling procedures, and prosthetic design and implantation and described the important technical features, as well as their clinical validity and applications. Conclusions: Over the past decade, an increasing number of high- and low-fidelity virtual reality systems for bone trauma procedures have been introduced, demonstrating important benefits with regard to improving procedural teaching and learning, preoperative planning and rehearsal, intraoperative precision and efficiency, and postoperative outcomes. However, further technical developments in line with industry benchmarks and metrics are needed in addition to more standardised and rigorous clinical validation.

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“…When used in a virtual reality setting for training junior surgeons, use of the haptic enabled drill resulted in higher Objective Structured Assessment of Technical Skills (OSATS) when compared with participants who trained in simulation without haptics. 16 Another example is the laparoscopic instruments held during a simulated suturing task. In this setting, the use of haptics helped students to achieve proficiency 32% faster than students learning without haptics.…”

Section: Example Use Cases Of Haptic Learning Technologies For Proced...mentioning

confidence: 99%

“…Here a haptic enabled drill can provide feedback to better recreate the sensation of drilling a bone. When used in a virtual reality setting for training junior surgeons, use of the haptic enabled drill resulted in higher Objective Structured Assessment of Technical Skills (OSATS) when compared with participants who trained in simulation without haptics 16 . Another example is the laparoscopic instruments held during a simulated suturing task.…”

Section: Haptic Devices: Tools For Precise Measurement and Feedback O...mentioning

confidence: 99%

Haptics: The Science of Touch As a Foundational Pathway to Precision Education and Assessment

Perrone,

Abdelaal,

Pugh

et al. 2023

Acad Med

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Clinical touch is the cornerstone of the doctor-patient relationship and can impact patient experience and outcomes. In the current era, driven by an ever-increasing infusion of point-of-care technologies, physical exam skills have become undervalued. Moreover, touch and hands-on skills have been difficult to teach due to inaccurate assessments and difficulty with learning transfer through observation. In this article, the authors argue that haptics, the science of touch, provides a unique opportunity to explore new pathways to facilitate touch training. Furthermore, haptics can dramatically increase the density of touch-based assessments without increasing human rater burden—essential for realizing precision assessment. The science of haptics is reviewed, including the benefits of using haptics-informed language for objective structured clinical examinations. The authors describe how haptic devices and haptic language have and can be used to facilitate learning, communication, documentation and a much-needed reinvigoration of physical examination, and touch excellence at the point of care. The synergy of haptic devices, artificial intelligence, and virtual reality environments are discussed. The authors conclude with challenges of scaling haptic technology in medical education, such as cost and translational needs, and opportunities to achieve wider adoption of this transformative approach to precision education.

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Impact of haptic feedback on surgical training outcomes: A Randomised Controlled Trial of haptic versus non-haptic immersive virtual reality training

Cited by 30 publications

References 30 publications

Haptic feedback during virtual reality training significantly improves First-Year orthopedic resident performance at tibia drilling: a randomized trial

Haptic feedback during virtual reality training significantly improves First-Year orthopedic resident performance at tibia drilling: a randomized trial

Application of Virtual Reality Systems in Bone Trauma Procedures

Haptics: The Science of Touch As a Foundational Pathway to Precision Education and Assessment

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